Angela C Burgess, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2246 Issued in NC

Practice address

411 Main St W
Ahoskie, NC 27910-3321

Phone

(252) 862-4411

Fax

(252) 862-4414

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Family Services, PLLC

  • Community/Behavioral Health Agency
  • Ahoskie, NC
  • NPI 1114248184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679622179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MAIN ST E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103418",
            "telephone_number": "252-209-0388",
            "fax_number": "252-209-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103321",
            "telephone_number": "252-862-4411",
            "fax_number": "252-862-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "ANGELA",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107280",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC    BS",
            "identifier": "142CC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte Alexandra Brown, CRNA
• Penny L. Brown, NP
• Rachel M Brown, PTA
• Jacqueline Miller Bryant, SLP
• Shelia G Bunch, LCSW
• Nalalia Contrel Burns, MSW, LCSWA
• Susan Lowe Byrum
• Cagle Chiropractic, PLLC (Cagle Chiropractic Neck & Back Clinic)
• Vicki Lynne Cagle, D.C.
• Capturing Therapeutic Development PLLC

• Mental Health Counselor in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.